Active NPI
Demetris Pillows
- Case Manager/Care Coordinator
- Shreveport, LA
National Provider Identifier
1225572514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 404 Hearne Ave
Shreveport, LA 71103 - Phone
- (318) 716-1369
- Fax
- (318) 675-0120
- NPI assigned
- Dec 6, 2016
- Last updated
- Jul 30, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
404 Hearne Ave
Shreveport, LA 71103
Mailing address
2605 Betty St
Shreveport, LA 71108-5553
Phone (318) 216-3748
Other practice location 1
2605 Betty St
Shreveport, LA 71108-5553
Phone (318) 216-3748
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Right Turn, LLC | Past | Accepting new patients | |
| Rising Up Family Services, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Non-emergency Medical Transport (VAN)
- Shreveport, LA
- NPI 1275170607
-
- Community/Behavioral Health Agency
- Shreveport, LA
- NPI 1437546991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532908800000",
"number": "1225572514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2605 BETTY ST",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711085553",
"telephone_number": "318-216-3748",
"fax_number": "318-216-3786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 HEARNE AVE",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "71103",
"telephone_number": "318-716-1369",
"fax_number": "318-675-0120"
}
],
"practiceLocations": [
{
"address_1": "2605 Betty St",
"address_purpose": "LOCATION",
"city": "Shreveport",
"state": "LA",
"postal_code": "711085553",
"country_code": "US",
"telephone_number": "318-216-3748",
"fax_number": "318-216-3786",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PILLOWS",
"first_name": "DEMETRIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-06",
"last_updated": "2018-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
- Kevin Lee Pike, DMIN, MDIV, BCC
- Micah Boyett Pilcher, C.P.N.P.
- Kendall Thomas Pilgreen, P.A.-C
- Pill Box Pharmacy Incorporated (Medic Pharmacy)
- Rhydonia R. Pillars, LMT, NCTMB
- Joney Pillows
- Paulette Pinargote Cornejo, M.D.
- Patricia Ann Pinckard, PA-C
- Katelyn Wyatt Pine, BA
- Marta Elena Pineda, LMFT LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.